Lambert D, Guy H, Baudet D, Bonhomme J, Cortet P, Michiels R, Chapuis J L
Ann Dermatol Venereol. 1980 Jul;107(7):669-72.
The authors report on two cases of acute leukemia beginning with an isolated cutaneous lesion. The first case was a form of acute monoblastic leukosis which showed a favourable development following chemotherapeutic treatment, and was still in a state of remission two years later. The second case was a variety of acute monoblastic leukosis which, at the end of eighteen months' chemotherapeutic treatment, led to an unfavourable prognosis. Most interesting by, these reports highlight the mis-leading varieties of acute leukemia with an isolated cutaneous tumour. To make both accurate diagnosis and appropriate treatment possible, it is necessary to complement clinical and histological examination with hematologic and cytologic investigation.
作者报告了两例以孤立性皮肤病变为首发症状的急性白血病病例。第一例为急性单核细胞白血病，化疗后病情发展良好，两年后仍处于缓解状态。第二例是急性单核细胞白血病的一种类型，经过18个月的化疗后，预后不佳。这些报告最有意思的是，它们强调了伴有孤立性皮肤肿瘤的急性白血病具有误导性的类型。为了实现准确诊断和恰当治疗，有必要通过血液学和细胞学检查来补充临床和组织学检查。
